Everything About Hospitals and The Medical Profession That No One Dared To Disclose or Explain!

Don't be selfish! Share.

Saturday, June 26, 2010

What else could an Umbilical Hernia Be?

As a Surgeon, every time I settle down and think to myself that I've seen a case like this before and it should be routine, God intervenes and reminds me that nothing in surgery is as it seems. Least of all when you expect it to be.

We had a lady who presented with a fairly simple small swelling just around her umbilicus at the lower edge. She had had it for about a year. She was keen on getting it out and got the relevant investigations for the surgery ready.

We took her into the O.T. and gave her the necessary sedation and local anaesthesia and proceeded with the usual 'smiling' umbilical incision. On dissection, we noticed a very well circumscribed localised blob of fat = Lipoma. Could it be?? As simple as a Lipoma? No way.

We dissected further. It wasn't extending beyond the subcutaneous plane. I had not even reached the rectus sheath and it was almost out. I was just about ready to call it a Lipoma and then I reached the rectus sheath. It seemed to be growing out of it. I had to really dig deep into my long forgotten medical school knowledge bank kept at the back of my head somewhere in the pits of my cerebrum.

I showed it to my senior. He confirmed. It was a 'Fatty hernia of the Rectus'. Strange, I thought. That's something I've heard in relation to the Linea Alba. Extraperitoneal fat in the epigastrium is known, but paraumbilical at the rectus?? Anyway, that's what we left it as since there was no sac, so it couldn't be a hernia and it was only fat and the defect was less than a cm in size.

1 comment:

Its like you read my mind! You appear to know a lot approximately this, like you wrote the e book in it or something.I believe that you can do with some % to force the message home a bit, however other than that, that is wonderful blog. A fantastic read.

First Time Visitors

All time Views

Ratings?

My Rank...Feels like I'm back at school!

Big Adda Blogger!

Don't Copy Me!!!

Disclaimer

Any medical information provided by this site is not a replacement for medical diagnosis, treatment, or professional medical advice. It should not be used to treat or diagnose any medical condition. Always seek professional medical consultation for diagnosis and treatment of any and all medical conditions. I do not intend to use this blog to collect or dispense private health information on patients. If any patient is used as an explicit example for a posting, I will get that patient's consent in writing. Any similarities to you or people you know is purely coincidental. This web site does not share or sell any personal information, including your name, address, or email addresses with third parties. Keep reading!